Contextual factors such as cultural values and traditions impact on implementation processes of healthcare interventions. It is one of the reasons why local stakeholders may decide to role out a programme differently from how it has originally been developed or described in scientific literature. This can result in different but most likely more…

The involvement of non-researcher contributors (eg, stakeholders, patients and the public, decision and policy makers, experts, lay contributors) has taken a variety of forms within evidence syntheses. Realist reviews are a form of evidence synthesis that involves non-researcher contributors yet this practice has received little attention. In…

Universities have much to contribute to the improvement of health delivery, research, and teaching/learning. In progressing health reform, the Government should be mindful of the need to: (1) strengthen high quality medical research; (2) promote translation of research to teaching, population health and health services; and (3) address Health…

Major criticisms of health science policy are that (1) health science research is not presently designed to help the public which pays for it; (2) the public should have greater control over health science research; and (3) federal funding of training for health science research is an inappropriate use of tax funds. (Author/DB)

Examines the evolution of health policies in the United States and their possible impact on public health. Reviews four periods of U.S. history (1776-1861, 1861-1931, 1931-1981, and 1981 to the present) with special emphasis on the significant increase in the federal role and the current attempts to reduce the federal role. (SK)

Several recent, substantial reports are examined that, taken together, point the way toward a constructive reformulation of health sciences policy. Private, public, and Congressional reports suggest the high quality of the bioscience effort as well as the need to broaden traditional concepts to include centrally the sciences associated with public…

The health problems of today are different from those of the past and therefore demand new health care approaches and policies. The goals of the conference on disease prevention and health promotion were: to increase knowledge and understanding of the range of approaches to health promotion; to exchange information about the cost and effectiveness…